Pre Authorization Customer Service
Resume:
Felice Winnie
Sterling Heights, MI 48312
Professional Summary:
** *****’ experience as Front Office Medical Office Support in both Dr. Office’s and Hospital environments.
•Strong insurance verification experience
•Proficient in scheduling appointments and multitasking in fast pace environments
•Excellent communication skills and professional phone etiquette.
Professional Experience:
Beaumont Urgent Care by Wellstreet March 2021 to Current
Occupational Health Coordinator and PSR
Complete the steps need to get an authorization for patient services prior to their appointment. Send required information to insurance companies, by web site or fax. Follow thru till all documents are scanned into patient’s chart for review at time of visit. Coordinate patient rescheduling of appointments that do not have authorizations or give them the option to sign a Letter of Liability. Verifying and updating demographics and insurance information. Performing basic eligibility checks. and validate accuracy and resolve issues as well as performing administrative follow up actions.
Midwest Center for Dermatology September 2019 to January 2021
Receptionist
Verifying and updating demographics and insurance information. Performing basic eligibility checks collecting co-pays, verifying pre-authorization requirements for specific coverage (i.e., TRICARE. sharing agreements, etc.). Entering appropriate information into the electronic medical records. Monitoring pre-appointment requirements to assure readiness for patient visit or procedure. Verify and validate accuracy and resolve issues as well as performing administrative follow up actions.
Henry Ford Macomb Hospital January 2019 to July 2019
Patient Registration Clerk
Verifying and updating demographics and insurance information. Performing basic eligibility checks, collecting co-pays, verifying pre-authorization requirements for specific coverage (i.e., TRICARE. sharing agreements, etc.). Entering appropriate information into the electronic medical records. Monitoring pre-appointment requirements to assure readiness for patient visit or procedure. Verify and validate accuracy and resolve issues as well as performing administrative follow up actions.
R1RCM Ascension Crittenden August 2018 to December 2018
Insurance Verification Complete the steps need to get an authorization for patient services prior to their appointment. Send required information to insurance companies, by web site or fax. Follow thru till all documents are scanned into patient’s chart for review at time of visit. Coordinate patient rescheduling of appointments that do not have authorizations or give them the option to sign a Letter of Liability.
Beaumont April 2017 to August 2018 Patient Access Representative (April 2018 to August 2018)
Dr. Office Setting, Beaumont Weight Control Center- Royal Oak, MI
Preparing for clinic visits; monitoring patient appointments for areas of responsibility; verifying and updating demographics and insurance information. Performing basic insurance eligibility checks. Verify co-pays and pre-authorization requirements for specific coverage (i.e., TRICARE. sharing agreements, etc.) Work with the team to reinforce the plan of care and self-help solutions and entering information into the electronic record. Monitoring pre-appointment requirements, assure readiness for patient visit/procedure.
Registration (April 2017 to April 2018)
Beaumont Hospital-Grosse Pointe, MI
Enter all required information, such as insurance verify and correct address and phone number and make sure all consents are signed. Responsible for the Medicare IMM forms, I go to the floor, inform patient of their rights on the form. Obtain a signature, or call family to inform them If patient is unable to sign, enter all necessary information into patient records.
St. John Health / Ascension Health June 2014 to April 2017
Outpatient Registration Clerk (June 2016 to April 2017)
Enter all required information, such as insurance verify and correct address and phone number and make sure all consents are signed. Responsible for the Medicare IMM forms, I go to the floor, inform patient of their rights on the form. Obtain a signature, or call family to inform them If patient is unable to sign, enter all necessary information into patient records.
Macomb Hospital Center-Warren, MI
Verifying and updating demographics and insurance information. Performing basic eligibility, collecting co-pays, verifying we have pre-authorization requirements for specific coverage (i.e., TRICARE, Blue Cross. sharing agreements, etc.) Assure readiness for patient visit or procedure
Front Desk Office Clerk (Dr. Office Setting) (August 2015 to June 2016)
St. John Warren Cornerstone Family Physicians-Warren, MI
Answer phones, make appointments, and update patient’s information. Send out medical records to other offices when requested. Complete referrals for all Blue Care Network patients. Submit request for refills upon patient’s request. Sort and file all incoming faxes in Athena. Forward reports to the correct doctors for review.
St John Macomb Hospital-Madison Heights, MI (June 2014 to August 2016)
ER and Outpatient Representative
Verifying and updating demographics and insurance information. Performing basic eligibility checks, collecting co-pays, verifying we have pre-authorization requirements for specific coverage (i.e., TRICARE. sharing agreements, etc.) Work with the team to reinforce the plan of care and self-help solutions and entering appropriate information into the electronic record, monitoring pre-appointment requirements to assure readiness for patient visit/procedure. Managing electronic wait list to verify and validate accuracy and resolve issues; Performing, administration follow up actions.
Henry Ford Health Systems-Troy, Michigan June 2013 to February 2019
Patient Account Representative
Answer calls from patients after they have received their bill. Explain payment details to patients and provide excellent customer service while ensuring customer satisfaction. Education GED - Osborn High School
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